Superior Days 2018 Registration
Registration form to become a delegate at the 33rd Superior Days on February 20 & 21, 2018
First Name *
Your answer
Last Name *
Your answer
Company/School *
Your answer
Position/Title
Your answer
Address (school address if student) *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
County *
Your answer
Email *
Your answer
Phone
Your answer
Years of Participation
Your answer
Adult or Youth Delegate *
Youth Delegate Grade
Payment Option
Dietary Special Instructions
Your answer
Optional: Equal Opportunity/Civil Rights Data
UW-Extension is required to collect voluntary equal opportunity and civil rights demographics for all educational programming. Your decision to provide, or not to provide this information has no impact on your registration. All responses are reported as part of aggregate programming data.
Identify your race (optional):
Identify your ethnicity (optional):
Identify your gender (optional):
Identify your age range (optional):
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